{"id":162,"date":"2016-09-15T23:34:04","date_gmt":"2016-09-15T15:34:04","guid":{"rendered":"http:\/\/new.capd.org.tw\/?p=162"},"modified":"2016-09-27T17:19:30","modified_gmt":"2016-09-27T09:19:30","slug":"sipd","status":"publish","type":"post","link":"https:\/\/www.capd.org.tw\/?p=162","title":{"rendered":"\u8179\u819c\u900f\u6790\u9810\u5148\u690d\u7ba1"},"content":{"rendered":"<h4>\u4ec0\u9ebc\u662f\u9810\u5148\u690d\u7ba1\uff08SIPD\uff09\uff1f<\/h4>\n<blockquote><p>\u968e\u6bb5\u5f0f\u958b\u59cb\u8179\u819c\u900f\u6790\uff08SIPD- Stepwise Initiation of Peritoneal Dialysis) \u53c8\u7a31\uff1a\u8179\u819c\u900f\u6790\u7684\u968e\u6bb5\u5f0f\u5c0e\u5165\u6cd5 (SMAP-Stepwise initiation of PD using Moncrief And Popovich technique)<\/p><\/blockquote>\n<p>\u5c0d\u65e5\u5f8c\u9700\u8179\u819c\u900f\u6790\u7684\u75c5\u4eba\u505a\u76ae\u4e0b\u9810\u57cb\u5c0e\u7ba1\u7684\u6280\u8853\uff0cMoncrief JW\u8207Popovich RP\u5169\u4f4d\u5b78\u8005\u65e9\u65bc1991\u5e74\u5c31\u5df2\u63d0\u51fa\uff0c\u7576\u521d\u7684\u69cb\u60f3\u80cc\u666f\u4e3b\u8981\u662f\u904b\u7528\u5728\u964d\u4f4e\u8179\u819c\u708e\u8207\u51fa\u53e3\u611f\u67d3\u4e4b\u767c\u751f\u7387\uff1b\u9810\u5148\u57cb\u7ba1\u7684\u89c0\u5ff5\u96a8\u5f8c\u5728\u65e5\u672c\u88ab\u767c\u63da\u5149\u5927\uff0c\u81ea1999\u5e74\u8d77\u7531\u8cb4\u53cb\u6703\u738b\u5b50\u75c5\u9662\u7684\u814e\u81df\u79d1\u91ab\u5e2b\u7aaa\u7530\u5be6(Dr. Minoru Kubota)\u7a4d\u6975\u5730\u5f15\u9032\u6b64\u6cd5\uff0c\u4e26\u78ba\u8a8d\u5176\u6709\u7528\u6027\u3002\u7aaa\u7530\u5be6\u91ab\u5e2b\u66fe\u5c0d\u5916\u767c\u8868\u610f\u898b\u8868\u793a\uff1a\u8179\u819c\u900f\u6790\u6cbb\u7642\u4e0a\uff0c\u9810\u5148\u690d\u7ba1\u7d93\u78ba\u8a8d\u5728\u611f\u67d3\u3001\u6ef2\u6f0f\u3001\u4f4f\u9662\u5929\u6578\u3001\u75c5\u60a3\u7684\u751f\u6d3b\u54c1\u8cea\u7b49\u65b9\u9762\u90fd\u5177\u6709\u512a\u9ede\u7684\u65b9\u6cd5\u3002\u70ba\u4e86SMAP 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start)\u7684\u6210\u529f\u7387\uff0c\u66f4\u91cd\u8981\u7684\u662f\u907f\u514d\u7dca\u6025\u900f\u6790\u53ca\u5176\u76f8\u95dc\u5371\u96aa\u6027\u53ca\u4f75\u767c\u75c7\uff0c\u8b93\u60a3\u8005\u66f4\u5e73\u9806\u7684\u9032\u5165\u8179\u819c\u900f\u6790\u6cbb\u7642\u3002\u6bd4\u7167\u63a5\u53d7\u8840\u6db2\u900f\u6790\u75c5\u60a3\u9810\u5148\u5efa\u7acb\u8840\u6db2\u763b\u7ba1\u4e4b\u6a21\u5f0f\uff0c\u9810\u5148\u690d\u7ba1\u6cd5\u80fd\u6709\u6548\u898f\u5283\u690d\u7ba1\u8207\u5f8c\u7e8c\u4e4b\u7167\u8b77\u8207\u8179\u819c\u900f\u6790\uff0c\u5f62\u540c\u63d0\u65e9\u70ba\u8179\u819c\u900f\u6790\u505a\u597d\u6e96\u5099\u3002<\/p>\n<p>\u203b\u8a3b\u4e00\uff1a\u53ef\u65bd\u4f5c\u9810\u5148\u690d\u7ba1\u4e4b\u91ab\u7642\u9662\u6240\u5217\u8868\uff082011\u66f4\u65b0\uff09<\/p>\n<p>\u5317\u5340 \uff1a\u53f0\u5927\u3001\u69ae\u7e3d\u3001\u6797\u53e3\u9577\u5e9a\u3001\u65b0\u5149\u3001\u53f0\u5317\u99ac\u5055\u3001\u6de1\u6c34\u99ac\u5055\u91ab\u9662\u3002<br \/>\n\u4e2d\u5340\uff1a\u5f70\u5316\u57fa\u7763\u6559\u3001\u96f2\u6797\u53f0\u5927\u3002<br \/>\n\u5357\u5340\uff1a\u5927\u6797\u6148\u6fdf\u3001\u5609\u7fa9\u57fa\u7763\u6559\u3001\u8056\u99ac\u723e\u5b9a\u3001\u6210\u5927\u3001\u9ad8\u91ab\u3001\u9ad8\u96c4\u9577\u5e9a\u3001\u962e\u7d9c\u5408\u3001\u7fa9\u5927\u3001\u6771\u6e2f\u5b89\u6cf0\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-164 size-full\" src=\"http:\/\/new.capd.org.tw\/wp-content\/uploads\/2016\/09\/5_2_3_01.jpg\" alt=\"sipd_graph\" width=\"500\" height=\"396\" srcset=\"https:\/\/www.capd.org.tw\/wp-content\/uploads\/2016\/09\/5_2_3_01.jpg 500w, https:\/\/www.capd.org.tw\/wp-content\/uploads\/2016\/09\/5_2_3_01-300x238.jpg 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-163 size-full\" src=\"http:\/\/new.capd.org.tw\/wp-content\/uploads\/2016\/09\/5.2.3.jpg\" alt=\"sipd_photo\" width=\"300\" height=\"169\" \/>\u8aaa\u660e\uff1a\u9810\u5148\u690d\u7ba1\u5f8c\uff0c\u5916\u89c0\u4e26\u4e0d\u5341\u5206\u660e\u986f\uff0c\u4e5f\u4e0d\u6703\u5f71\u97ff\u65e5\u5e38\u751f\u6d3b\u4f5c\u606f\uff08\u624b\u8853\u5f8c35\u5929\uff0c\u5df2\u62c6\u7dda\uff09<\/p>\n<hr \/>\n<h4>\u9810\u5148\u690d\u7ba1\u7684\u512a\u7f3a\u9ede\uff1a<\/h4>\n<p>\u25c6 \u512a\u9ede<\/p>\n<p>1. \u5728\u8eab\u5fc3\u72c0\u614b\u8f03\u7a69\u5b9a\u60c5\u6cc1\u4e0b\u9078\u64c7\u900f\u6790\u7642\u6cd5<\/p>\n<p>2. \u8a08\u756b\u6027\u5730\u690d\u7ba1\uff0c\u624b\u8853\u65b9\u5f0f\u7c21\u55ae<\/p>\n<p>3. \u5c0e\u7ba1\u5728\u57cb\u653e\u671f\u9593\u4e0d\u5fc5\u7167\u9867\u51fa\u53e3<\/p>\n<p>4. \u5c0e\u7ba1\u53ef\u9577\u6642\u9593\u57cb\u653e\u65bc\u76ae\u4e0b<\/p>\n<p>5. \u65bd\u884c\u51fa\u53e3\u88fd\u4f5c\u8853\u5f8c,\u53ef\u99ac\u4e0a\u57f7\u884c\u8179\u819c\u900f\u6790<\/p>\n<p>6. \u53ef\u9069\u6642\u958b\u59cb\u8179\u819c\u900f\u6790\u4e26\u7d66\u4e88\u5168\u5291\u91cf(full dose)\u7684\u900f\u6790\u91cf<\/p>\n<p>7. \u8179\u819c\u900f\u6790\u958b\u59cb\u6642\u4e0d\u6703\u767c\u751f\u6ef2\u6f0f\u73fe\u8c61<\/p>\n<p>8.\u5c0e\u7ba1\u611f\u67d3\u7684\u60c5\u5f62\u8f03\u5c11<\/p>\n<p>9.\u7e2e\u77ed\u4f4f\u9662\u65e5<\/p>\n<p>\u25c6 \u7f3a\u9ede<\/p>\n<p>1. \u5c0e\u7ba1\u690d\u5165\u5f8c\uff0c\u5c0e\u7ba1\u5728\u8179\u8154\u5167\u7684\u72c0\u6cc1\u7121\u6cd5\u5f97\u77e5<\/p>\n<p>2. \u9808\u4f5c\u5c0e\u7ba1\u51fa\u53e3\u71df\u9020\u8853<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u4ec0\u9ebc\u662f\u9810\u5148\u690d\u7ba1\uff08SIPD\uff09\uff1f \u968e\u6bb5\u5f0f\u958b\u59cb\u8179\u819c\u900f\u6790\uff08SIPD- Stepwise <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17,15],"tags":[],"class_list":["post-162","post","type-post","status-publish","format-standard","hentry","category-basics","category-encyclopedia"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.capd.org.tw\/index.php?rest_route=\/wp\/v2\/posts\/162","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.capd.org.tw\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.capd.org.tw\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.capd.org.tw\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.capd.org.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=162"}],"version-history":[{"count":3,"href":"https:\/\/www.capd.org.tw\/index.php?rest_route=\/wp\/v2\/posts\/162\/revisions"}],"predecessor-version":[{"id":211,"href":"https:\/\/www.capd.org.tw\/index.php?rest_route=\/wp\/v2\/posts\/162\/revisions\/211"}],"wp:attachment":[{"href":"https:\/\/www.capd.org.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=162"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.capd.org.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=162"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.capd.org.tw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=162"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}